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Survey about health, cigarettes, alcoholic beverages, soft drinks, smoking and dvds.

Begin Survey

1. Will you take any train or subway rides this week? Yes No

2. Have you ever gotten a traffic ticket? Yes No

3. Do you play any organized team sports? Yes No

4. Can you drive a stick shift? Yes No

5. Do you enjoy classical music? Yes No

6. Will you consume any alcoholic beverages this weekend? Yes No

7. Will you visit a casino this week? Yes No

8. Do you enjoy ethnic foods? Yes No

9. Have you ever participated in a focus group? Yes No

10. Do you smoke cigarettes? Yes No

11. Will you rent a DVD or video this weekend? Yes No

12. Do you contribute money to any charitable organizations? Yes No

13. Do you get a flu shot every winter? Yes No

14. Did you vote in the last Presidential election? Yes No

15. Do you drink diet soda? Yes No

16. Would you like a free video or CD-ROM with more information on owning or renting an RV? Yes No

Your Firstname:

Your Emailaddress:

Yes, I would like to join the Daily Life Survey!

Fun and Interesting facts: - Barbie's full name is Barbara Millicent Roberts. - Gatorade was named for the University of Florida (Gators where it was first developed. - Every year about 98% of atoms in the human body are replaced. - The very peak of the Washington Monument is not stone, but a 100-ounce solid aluminum pyramid, constructed as part of the monument's lightning protection system.

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